Individual provider Active NPI

Afreen S Pappa, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1457431876
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4415 Issued in TX
Practice address
2615 Southwest Fwy
Suite 220
Houston, TX 77098-4609
Phone
(713) 527-8731
Fax
(713) 527-8731
NPI assigned
Oct 17, 2006
Last updated
Jun 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4415 TX Primary

Addresses

Primary practice location

2615 Southwest Fwy
Suite 220
Houston, TX 77098-4609

Mailing address

2001 Butterfield Rd
Suite 300
Downers Grove, IL 60515-1050
Phone (630) 725-2832

Other identifiers 2

IdentifierTypeStateIssuer
340731OtherTXGROUP MEDICARE PTAN
340739OtherTXGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000092 TX Practitioner - Family Practice 6204077738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J4415TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovista Provider Group Texas PA Family Medicine CurrentSince Oct 31, 2025 Accepting new patients

Locations

12302 Jones Rd
Houston, TX 77070
Phone (713) 804-5965

12586 Westheimer Rd
Houston, TX 77077
Phone (713) 304-5963

18532 Kuykendahl Rd
Spring, TX 77379
Phone (713) 804-5960

Interoperability endpoints

  • Direct secure messaging: apappa25430@innovista.gardenplot.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1457431876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-725-2832",
            "fax_number": "877-489-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984609",
            "telephone_number": "713-527-8731",
            "fax_number": "713-527-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPA",
        "first_name": "AFREEN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "340731",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "340739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.